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Previous Volume 328:1333-1336 May 6, 1993 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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A 47-year-old executive experienced several episodes of brief, exertion-related precordial chest pain in the six weeks before his initial evaluation. A single episode of midsternal vise-like pain that began after he lifted his child lasted 20 minutes. He had a remote history of cigarette smoking and a strong family history of atherosclerotic cardiovascular disease, but no history of diabetes, hypertension, or obesity.

Coronary artery disease needs primary consideration, although the lifting episode suggests that musculoskeletal strain or costochondritis may be contributing to his problems. I don't give much credence to the notion of gastrointestinal disease as a cause of this . . . [Full Text of this Article]

Commentary

Source Information

From Yale University School of Medicine, 333 Cedar St., New Haven, CT 01610, where reprint requests should be addressed to Dr. Duffy.

References

Related Letters:

Clinical Problem-Solving: Getting the Story Right
Unger P., Berkenboom G., Speich R., Attenhofer C., Amann F. W., Duffy T. P.
Extract | Full Text  
N Engl J Med 1993; 329:1128-1129, Oct 7, 1993. Correspondence

This article has been cited by other articles:

• Unger, P., Berkenboom, G., Speich, R., Attenhofer, C., Amann, F. W., Duffy, T. P. (1993). Clinical Problem-Solving: Getting the Story Right. NEJM 329: 1128-1129 [Full Text]